The MOLST form (basically the old DNR) must be consistent with known decisions of the patient, if competent, or by the health care agent or other decision maker, if not competent. The form must be reviewed annually and must be updated if the patient changes his or her wishes, or if his or her physical condition changes. If there are multiple MOLST documents, the most recent version controls.

The Advance Directive names the agent, establishes their authority, and outlines healthcare decisions, while the MOLST form makes known these directions.

These documents should be consistent with each other in order to clearly articulate the wishes of the patient and to ensure the patient’s directives are followed and fulfilled.


David Wingate is an elder law attorney at the Elder Law Office of David Wingate, LLC. The elder law office services clients with powers of attorneys, living wills, Wills, Trusts, Medicaid and asset protection. The Elder Law office has locations in Frederick and Montgomery Counties, Maryland.

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